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Incidence and risk factors for rebleeding during cerebral angiography for ruptured intracranial aneurysms.

Authors
 Yong Cheol Lim  ;  Chang-Hyun Kim  ;  Yong Bae Kim  ;  Jin-Yang Joo  ;  Yong Sam Shin  ;  Joonho Chung 
Citation
 YONSEI MEDICAL JOURNAL, Vol.56(2) : 403-409, 2015 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2015
MeSH
Adult ; Aged ; Aneurysm, Ruptured ; Angiography, Digital Subtraction/methods* ; Cerebral Angiography/methods* ; Female ; Humans ; Imaging, Three-Dimensional/methods* ; Incidence ; Intracranial Aneurysm/diagnostic imaging* ; Intracranial Aneurysm/epidemiology ; Intracranial Aneurysm/therapy ; Intracranial Hemorrhages/epidemiology* ; Male ; Middle Aged ; Recurrence ; Risk Factors ; Tomography, X-Ray Computed
Keywords
Cerebral angiography ; intracranial aneurysm ; rebleeding ; subarachnoid hemorrhage
Abstract
PURPOSE: The purpose was to evaluate the incidence and risk factors for rebleeding during cerebral angiography in ruptured intracranial aneurysms. MATERIALS AND METHODS: Among 1896 patients with ruptured intracranial aneurysms between September 2006 and December 2013, a total of 11 patients who experienced rebleeding of the ruptured aneurysms during digital subtraction angiography (DSA) were recruited in this study. RESULTS: There were 184 patients (9.7%) who had suffered rebleeding prior to the securing procedure. Among them, 11 patients experienced rebleeding during DSA and other 173 patients at a time other than DSA. Eight (72.7%) of the 11 patients experienced rebleeding during three-dimensional rotational angiography (3DRA). The incidence of rebleeding during DSA was 0.6% in patients with ruptured intracranial aneurysms. Multivariate logistic regression analysis showed that aneurysm location in anterior circulation [odds ratio=14.286; 95% confidence interval (CI), 1.877 to 250.0; p=0.048] and higher aspect ratio (odds ratio=3.040; 95% CI, 1.896 to 10.309; p=0.041) remained independent risk factors for rebleeding during DSA. CONCLUSION: Ruptured aneurysms located in anterior circulation with a high aspect ratio might have the risk of rebleeding during DSA, especially during 3DRA.
Files in This Item:
T201501313.pdf Download
DOI
10.3349/ymj.2015.56.2.403
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yong Bae(김용배) ORCID logo https://orcid.org/0000-0003-2262-7157
Chung, Joon Ho(정준호)
Joo, Jin Yang(주진양)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140012
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